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Cartera hospitalaria y diferencias regionales en la prestación de los servicios de salud en Colombia

Author

Listed:
  • Karelys Guzmán-Finol
  • Jhorland Ayala-García

Abstract

Este documento describe el estado y la evolución de la cartera de los hospitales públicos en Colombia y cómo se relaciona con algunos indicadores de la calidad en la prestación del servicio de salud a nivel regional. El análisis de la cartera de los hospitales públicos se basa en los datos del Sistema de Información Hospitalaria (SIHO), que agrupa la información reportada al Ministerio de Salud y Protección Social. Se cuenta con información para 931 hospitales. El 85% de los hospitales son de nivel I porque ofrecen servicios de complejidad baja; el 12% son de nivel II con servicios de complejidad intermedia, mientras que el 3% de los hospitales son de nivel III que brindan servicios de complejidad alta. Además, de acuerdo con información de la Encuesta Nacional de Calidad de Vida, el Registro Especial de Prestadores de Servicios de Salud, y el Registro Único Nacional del Talento Humano en Salud (ReTHUS), se presentan las diferencias regionales en algunos indicadores de infraestructura hospitalaria y calidad de los servicios de salud. Se encuentra que algunos departamentos de la Costa Caribe (como Cesar, Sucre y Atlántico) tienen la mayor disponibilidad de camas mientras que Bogotá, Valle y Antioquia la mayor disponibilidad de recurso humano. Los departamentos de las regiones Orinoquía, Pacífica y Amazonía están rezagadas en ambos factores. Finalmente, se explora la relación entre la cartera y algunos indicadores de calidad. **** ABSTRAC: This document describes the state and evolution of the public hospital portfolio in Colombia and how it relates to some quality indicators in the provision of health services at the regional level. The analysis of the public hospital portfolio is based on data from the Hospital Information System (SIHO, in Spanish), which contains the information reported to the Ministry of Health and Social Protection. We have data for 931 hospitals. 85% of hospitals are level I because they offer low complexity services; 12% are level II and offer services of intermediate complexity, while 3% are level III and offer high complexity services. In addition, according with data from the National Quality of Life Survey, the Special Registry of Health Service Providers, and the Single National Registry of Human Talent in Health (ReTHUS, in Spanish), this paper presents regional differences in some hospital infrastructure indicators, as well as in indicators of the quality of health services. We find that some departments of the Caribbean Coast (such as Cesar, Sucre and Atlántico) have the higher availability of hospital beds while Bogotá, Valle and Antioquia have the greatest availability of human resources. The departments of the Orinoquia, Pacifica and Amazon regions are lagging in both factors. Finally, the relationship between the public hospitals portfolio and some quality indicators is explored.

Suggested Citation

  • Karelys Guzmán-Finol & Jhorland Ayala-García, 2024. "Cartera hospitalaria y diferencias regionales en la prestación de los servicios de salud en Colombia," Documentos de trabajo sobre Economía Regional y Urbana 328, Banco de la Republica de Colombia.
    • Handle: RePEc:bdr:region:328
    DOI: 10.32468/dtseru.328
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    File URL: https://doi.org/10.32468/dtseru.328
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    References listed on IDEAS

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    1. Gloria J. Bazzoli & Hsueh‐Fen Chen & Mei Zhao & Richard C. Lindrooth, 2008. "Hospital financial condition and the quality of patient care," Health Economics, John Wiley & Sons, Ltd., vol. 17(8), pages 977-995, August.
    2. Ligia Alba Melo-Becerra & Luis E. Arango & Oscar Iván Ávila-Montealegre & Jhorland Ayala-García & Leonardo Bonilla-Mejía & Jesús Alonso Botero-García & Carolina Crispin-Fory & Manuela Cardona & Daniel, 2023. "Aspectos financieros y fiscales del sistema de salud en Colombia," Revista ESPE - Ensayos sobre Política Económica, Banco de la Republica de Colombia, issue 106, pages 1-92, October.
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    5. Jhorland Ayala García, 2015. "El acceso a la consulta médica general en Colombia," Revista Economía y Región, Universidad Tecnológica de Bolívar, vol. 9(1), pages 175-207.
    6. Larissa Batrancea, 2021. "The Influence of Liquidity and Solvency on Performance within the Healthcare Industry: Evidence from Publicly Listed Companies," Mathematics, MDPI, vol. 9(18), pages 1-15, September.
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    Keywords

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    JEL classification:

    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • I14 - Health, Education, and Welfare - - Health - - - Health and Inequality
    • R1 - Urban, Rural, Regional, Real Estate, and Transportation Economics - - General Regional Economics

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